Register for email alerts and news feeds:
This journal | BMJ Group
rss
Heart. Published Online First: 26 October 2009. doi:10.1136/hrt.2009.177345
Copyright © 2009 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2009;0:hrt.2009.177345
© 2009 by BMJ Publishing Group & British Cardiac Society

Editorial

Longitudinal Myocardial Shortening in Aortic Stenosis: Ready for Prime Time after Thirty Years of Research?

Philippe Pibarot*, Jean G. Dumesnil

Quebec Heart & Lung Institute, Canada

Correspondence to: Philippe Pibarot, Cardiology, Quebec Heart & Lung Institute, Quebec Heart & Lung Institute / Laval Hospital, 2725 Chemin Sainte-Foy, Québec, G1V-4G5, Canada; philippe.pibarot{at}med.ulaval.ca

Accepted 13 October 2009

ABSTRACT

The results presented in this study (2) further confirm that the geometry of the ventricle is a strong determinant of myocardial systolic function and LV concentric hypertrophy is associated with a worst degree of myocardial impairment. Hence, the assessment of LV geometry and function in patients with AS should be more comprehensive and go beyond the sole measurement of LV mass and ejection fraction. This evaluation should also include the relative wall thickness to assess the degree of concentric remodelling and the longitudinal myocardial strain to properly identify and quantify myocardial systolic dysfunction. Given that these indices can now be measured routinely and reproducibly, we thus believe that they should be incorporated in the routine echocardiographic follow-up of patients with AS.


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This Article

Services
Google Scholar
PubMed
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.